{
"Npi": {
"NPI": "1437228699",
"EntityType": "Organization",
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"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "CITY OF LIBERTY",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
"OtherOrgNameTypeCode": "6",
"OtherLastName": null,
"OtherFirstName": null,
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"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "PO BOX 55",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "WATSONTOWN",
"MailingAddressStateName": "PA",
"MailingAddressPostalCode": "17777-0055",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "570-538-4488",
"MailingAddressFaxNumber": "336-791-0195",
"FirstLinePracticeLocationAddress": "200 W MISSISSIPPI ST",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "LIBERTY",
"PracticeLocationAddressStateName": "MO",
"PracticeLocationAddressPostalCode": "64068-1625",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "816-792-6005",
"PracticeLocationAddressFaxNumber": "336-791-0195",
"EnumerationDate": "11/06/2006",
"LastUpdateDate": "01/05/2026",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "SNIDER",
"AuthorizedOfficialFirstName": "PRESTON",
"AuthorizedOfficialMiddleName": "M",
"AuthorizedOfficialTitle": "FIRE CHIEF",
"AuthorizedOfficialNamePrefix": "MR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "816-439-4310",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "3416L0300X",
"TaxonomyName": "Land Ambulance",
"LicenseNumber": "047031",
"LicenseNumberStateCode": "MO",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}